| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $119.21 | $181.69 | $518.49 |
Cigna
| Facility | 26 | $273.36 | $273.36 | $273.36 |
Magnetic resonance imaging, brain, functional MRI; requiring physician or psychologist administration of entire neurofunctional testing
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $119.21 | $181.69 | $518.49 |
Cigna
| Facility | 26 | $273.36 | $273.36 | $273.36 |